Organization
UCAN
Active
Other names
UCAN
Organization subpart
No
Provider details
NPI number
Authorized official
ZACK SCHRANTZ (PRESIDENT/CEO)
(773) 588-0180
Entity
Organization
Contact information
Practice address
3605 W. FILLMORE ST., CHICAGO, IL 60624-4309
(773) 588-0180
(773) 588-7762
Mailing address
3605 W. FILLMORE ST., CHICAGO, IL 60624
(773) 588-0180
(773) 588-7762
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
12162610
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/30/2009
Last updated
05/03/2019
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